Page 1 of 686
NCLEX READINESS EXAM STUDY GUIDE COMPLETE
800 QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
QUESTION: Which client is at greatest risk for respiratory depression when receiving opioids for
pain control?
1. 20-year-old client with bronchitis receiving inhaled bronchodilator therapy every 4 hours
2. 30-year-old client with heroin addiction with rotator cuff repair surgery this morning
3. 50-year-old client with sleep apnea and left foot cellulitis and scheduled for a bone scan
4. 70-year-old client with chronic obstructive pulmonary disease (COPD) with knee replacement
this morning - ANSWER✔✔4. 70-year-old client with chronic obstructive pulmonary disease
(COPD) with knee replacement this morning
QUESTION: The flight nurse assesses an alert and oriented client at an industrial accident scene
who was impaled in the abdomen by a pair of scissors. Which nursing action is the immediate
priority on arrival at the scene?
1. Insert a large-bore IV line and infuse normal saline
2. Obtain blood for type and crossmatch and hemoglobin
3. Remove constrictive clothing to enhance circulation
4. Stabilize the scissors with sterile bulky dressings - ANSWER✔✔4. Stabilize the scissors with
sterile bulky dressings
, Page 2 of 686
QUESTION: A client with schizophrenia says to the nurse, "The world turns as the world turns
on a ball at the beach. But all the world's a stagecoach and I took the bus home." The nurse
recognizes this statement as an example of which of the following?
1. Concrete thinking
2. Loose associations
3. Tangentiality
4. Word salad - ANSWER✔✔2. Loose associations
QUESTION: A nurse on the behavioral health unit is reviewing medication prescriptions for 4
clients. Which combination of medications does the nurse question?
1. A client with anxiety prescribed escitalopram and alprazolam
2. A client with bipolar disorder prescribed risperidone and lithium
3. A client with depression prescribed escitalopram and selegiline
4. A client with depression prescribed sertraline and zolpidem - ANSWER✔✔3. A client with
depression prescribed escitalopram and selegiline
QUESTION: The nurse is assessing a 4-day-old, term neonate who is breastfed exclusively.
Which assessment finding should the nurse report to the health care provider for further
assessment regarding possible formula supplementation?
1. 10% weight loss since birth
, Page 3 of 686
2. Cracked, peeling skin
3. Feeds every 2-3 hours
4. Runny, seedy, yellow stools - ANSWER✔✔1. 10% weight loss since birth
QUESTION: The nurse is preparing to assess a client visiting the women's health clinic. The
client's obstetric history is documented as G5T1P2A1L2. Which interpretation of this notation is
correct?
1. The client had 1 birth at 37 wk 0 d gestation or beyond
2. The client had 3 births between 20 wk 0 d and 36 wk 6 d gestation
3. The client has 3 currently living children
4. The client is currently not pregnant - ANSWER✔✔1. The client had 1 birth at 37 wk 0 d
gestation or beyond
QUESTION: The nurse is caring for a client with gestational diabetes mellitus during the second
stage of labor. After birth of the head, the nurse notes retraction of the fetal head against the
maternal perineum. Which action should the nurse anticipate?
1. Administering a tocolytic
2. Initiating fundal pressure during a contraction
3. Obtaining the vacuum extractor
4. Pressing downward on the symphysis pubis - ANSWER✔✔4. Pressing downward on the
symphysis pubis
, Page 4 of 686
QUESTION: A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up
visit after beginning medication therapy. The client states, "I've had really bad nausea and
fatigue, but because my cough has already improved, I knew it would be alright to stop taking
the medications." The nurse identifies which priority nursing diagnosis (ND) in this client's care
plan?
1. Activity intolerance
2. Imbalanced nutrition, less than body requirements
3. Knowledge deficit of prescribed therapeutic regimen
4. Nausea - ANSWER✔✔3. Knowledge deficit of prescribed therapeutic regimen
QUESTION: A newborn had a bowel resection with temporary colostomy for Hirschsprung's
disease. The nurse should alert the health care provider (HCP) for which assessment finding
postoperatively?
1. Moderate amount of blood-tinged mucus from the stoma on postoperative day 2
2. Small amount of non-formed stool in the colostomy bag on postoperative day 6
3. Stoma bleeds a small amount during colostomy bag change on postoperative day 3
4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5 -
ANSWER✔✔4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5
NCLEX READINESS EXAM STUDY GUIDE COMPLETE
800 QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
QUESTION: Which client is at greatest risk for respiratory depression when receiving opioids for
pain control?
1. 20-year-old client with bronchitis receiving inhaled bronchodilator therapy every 4 hours
2. 30-year-old client with heroin addiction with rotator cuff repair surgery this morning
3. 50-year-old client with sleep apnea and left foot cellulitis and scheduled for a bone scan
4. 70-year-old client with chronic obstructive pulmonary disease (COPD) with knee replacement
this morning - ANSWER✔✔4. 70-year-old client with chronic obstructive pulmonary disease
(COPD) with knee replacement this morning
QUESTION: The flight nurse assesses an alert and oriented client at an industrial accident scene
who was impaled in the abdomen by a pair of scissors. Which nursing action is the immediate
priority on arrival at the scene?
1. Insert a large-bore IV line and infuse normal saline
2. Obtain blood for type and crossmatch and hemoglobin
3. Remove constrictive clothing to enhance circulation
4. Stabilize the scissors with sterile bulky dressings - ANSWER✔✔4. Stabilize the scissors with
sterile bulky dressings
, Page 2 of 686
QUESTION: A client with schizophrenia says to the nurse, "The world turns as the world turns
on a ball at the beach. But all the world's a stagecoach and I took the bus home." The nurse
recognizes this statement as an example of which of the following?
1. Concrete thinking
2. Loose associations
3. Tangentiality
4. Word salad - ANSWER✔✔2. Loose associations
QUESTION: A nurse on the behavioral health unit is reviewing medication prescriptions for 4
clients. Which combination of medications does the nurse question?
1. A client with anxiety prescribed escitalopram and alprazolam
2. A client with bipolar disorder prescribed risperidone and lithium
3. A client with depression prescribed escitalopram and selegiline
4. A client with depression prescribed sertraline and zolpidem - ANSWER✔✔3. A client with
depression prescribed escitalopram and selegiline
QUESTION: The nurse is assessing a 4-day-old, term neonate who is breastfed exclusively.
Which assessment finding should the nurse report to the health care provider for further
assessment regarding possible formula supplementation?
1. 10% weight loss since birth
, Page 3 of 686
2. Cracked, peeling skin
3. Feeds every 2-3 hours
4. Runny, seedy, yellow stools - ANSWER✔✔1. 10% weight loss since birth
QUESTION: The nurse is preparing to assess a client visiting the women's health clinic. The
client's obstetric history is documented as G5T1P2A1L2. Which interpretation of this notation is
correct?
1. The client had 1 birth at 37 wk 0 d gestation or beyond
2. The client had 3 births between 20 wk 0 d and 36 wk 6 d gestation
3. The client has 3 currently living children
4. The client is currently not pregnant - ANSWER✔✔1. The client had 1 birth at 37 wk 0 d
gestation or beyond
QUESTION: The nurse is caring for a client with gestational diabetes mellitus during the second
stage of labor. After birth of the head, the nurse notes retraction of the fetal head against the
maternal perineum. Which action should the nurse anticipate?
1. Administering a tocolytic
2. Initiating fundal pressure during a contraction
3. Obtaining the vacuum extractor
4. Pressing downward on the symphysis pubis - ANSWER✔✔4. Pressing downward on the
symphysis pubis
, Page 4 of 686
QUESTION: A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up
visit after beginning medication therapy. The client states, "I've had really bad nausea and
fatigue, but because my cough has already improved, I knew it would be alright to stop taking
the medications." The nurse identifies which priority nursing diagnosis (ND) in this client's care
plan?
1. Activity intolerance
2. Imbalanced nutrition, less than body requirements
3. Knowledge deficit of prescribed therapeutic regimen
4. Nausea - ANSWER✔✔3. Knowledge deficit of prescribed therapeutic regimen
QUESTION: A newborn had a bowel resection with temporary colostomy for Hirschsprung's
disease. The nurse should alert the health care provider (HCP) for which assessment finding
postoperatively?
1. Moderate amount of blood-tinged mucus from the stoma on postoperative day 2
2. Small amount of non-formed stool in the colostomy bag on postoperative day 6
3. Stoma bleeds a small amount during colostomy bag change on postoperative day 3
4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5 -
ANSWER✔✔4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5
